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Clinical Management of Mid-Root Fracture in Maxillary Central Incisors: Case Reports

Management of mid-root fractures presents a formidable challenge for clinicians because of the difficulty of achieving a stable reunion of fracture fragments. This article presents two varied treatment options for mid-root fractures. A 15-year-old female reported an impact injury to the maxillary an...

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Autores principales: Parekh, Deepak J, Sathyanarayanan, Ramarao, Manjunath, Mangala Tiptur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470102/
https://www.ncbi.nlm.nih.gov/pubmed/21404971
http://dx.doi.org/10.4248/IJOS10067
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author Parekh, Deepak J
Sathyanarayanan, Ramarao
Manjunath, Mangala Tiptur
author_facet Parekh, Deepak J
Sathyanarayanan, Ramarao
Manjunath, Mangala Tiptur
author_sort Parekh, Deepak J
collection PubMed
description Management of mid-root fractures presents a formidable challenge for clinicians because of the difficulty of achieving a stable reunion of fracture fragments. This article presents two varied treatment options for mid-root fractures. A 15-year-old female reported an impact injury to the maxillary anterior teeth 2 days after its occurrence. Clinically, the maxillary left central incisor was palatally-extruded with a negative vitality response and radiographic evidence of an oblique fracture at the middle third of the root. An endodontic implant was employed which utilized an open technique and has been on follow-up for ten months. A 32-year-old male reported an injury, which resulted in a mobile maxillary right central incisor, three months after its occurrence. Through clinical and radiographic means, a discolored, extruded, and non-vital maxillary right central incisor with an oblique root fracture at the alveolar-crest level was observed. Exploratory surgery was performed; an apical barrier was created with a mineral trioxide aggregate and obturated with gutta percha. The fragments were stabilized with a fiber post and patient has been on follow-up for five months. Short-term follow-up for both of the cases showed promising results both clinically and radiographically.
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spelling pubmed-34701022012-10-15 Clinical Management of Mid-Root Fracture in Maxillary Central Incisors: Case Reports Parekh, Deepak J Sathyanarayanan, Ramarao Manjunath, Mangala Tiptur Int J Oral Sci Case Report Management of mid-root fractures presents a formidable challenge for clinicians because of the difficulty of achieving a stable reunion of fracture fragments. This article presents two varied treatment options for mid-root fractures. A 15-year-old female reported an impact injury to the maxillary anterior teeth 2 days after its occurrence. Clinically, the maxillary left central incisor was palatally-extruded with a negative vitality response and radiographic evidence of an oblique fracture at the middle third of the root. An endodontic implant was employed which utilized an open technique and has been on follow-up for ten months. A 32-year-old male reported an injury, which resulted in a mobile maxillary right central incisor, three months after its occurrence. Through clinical and radiographic means, a discolored, extruded, and non-vital maxillary right central incisor with an oblique root fracture at the alveolar-crest level was observed. Exploratory surgery was performed; an apical barrier was created with a mineral trioxide aggregate and obturated with gutta percha. The fragments were stabilized with a fiber post and patient has been on follow-up for five months. Short-term follow-up for both of the cases showed promising results both clinically and radiographically. Nature Publishing Group 2010-12 /pmc/articles/PMC3470102/ /pubmed/21404971 http://dx.doi.org/10.4248/IJOS10067 Text en Copyright © 2010 West China School of Stomatology http://creativecommons.org/licenses/by-nc-nd/3.0/ This work is licensed under the Creative Commons Attribution-NonCommercial-No Derivative Works 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/3.0/
spellingShingle Case Report
Parekh, Deepak J
Sathyanarayanan, Ramarao
Manjunath, Mangala Tiptur
Clinical Management of Mid-Root Fracture in Maxillary Central Incisors: Case Reports
title Clinical Management of Mid-Root Fracture in Maxillary Central Incisors: Case Reports
title_full Clinical Management of Mid-Root Fracture in Maxillary Central Incisors: Case Reports
title_fullStr Clinical Management of Mid-Root Fracture in Maxillary Central Incisors: Case Reports
title_full_unstemmed Clinical Management of Mid-Root Fracture in Maxillary Central Incisors: Case Reports
title_short Clinical Management of Mid-Root Fracture in Maxillary Central Incisors: Case Reports
title_sort clinical management of mid-root fracture in maxillary central incisors: case reports
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470102/
https://www.ncbi.nlm.nih.gov/pubmed/21404971
http://dx.doi.org/10.4248/IJOS10067
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